Neal Boliou, PHY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY-247 Issued in ID

Practice address

1327 S Five Mile Rd
Boise, ID 83709-1306

Phone

(208) 375-7777

Fax

(208) 445-5899

NPI assigned

Jan 28, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Genesis Counseling and Psychological Services Inc

  • Family Psychologist
  • Boise, ID
  • NPI 1912238296
  Medicare reassignment NPD Authorized official
• Genesis Counseling

  • Mental Health Counselor
  • Boise, ID
  • NPI 1437533726
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502150400000",
    "number": "1295881480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 S FIVE MILE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091306",
            "telephone_number": "208-375-7777",
            "fax_number": "208-375-7598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 S FIVE MILE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091306",
            "telephone_number": "208-375-7777",
            "fax_number": "208-445-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLIOU",
        "first_name": "NEAL",
        "credential": "PHY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-28",
        "last_updated": "2017-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "ID",
            "license": "PSY-247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD OF ID",
            "identifier": "000010016161",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "N9998",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sabrina Bojo, AGNP
• Beth Bolen
• Kenna Bolen, LPC, CM, CBRS
• Kevin L Bolen, MS
• Sarah L Bolender, MD
• Patricia Boliou, LPC
• Meagan Boll
• Gayla Tanaka Bollinger, PHARMD
• William A Bollinger, MD
• Makayla Bolls, DO

• Psychologist in Boise, ID
• Providers in Boise, ID by specialty
• Psychologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.